CompCare in-hospital benefits: 2017

By Staff Writer -

Click here to compare in-hospital benefits across all schemes, or use the menu bar above for more options. CompCare home page.

Non-income based plans

Compcare Pinnacle 2017: In-hospital Benefits
In brief: 200% scheme rate for specialists. Some co-payments. Comprehensive cover with savings, extended fund, and limited above threshold benefits that cover most out-of-hospital benefits (with limits).
1. Payout Rate:
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Main: Adult: Child:
Total Cost: R5,328 R4,146 R1,476
Children: Pay for all children
Day-to-Day Benefit:
Comprehensive cover with savings, extended fund, and limited above threshold benefits that cover most out-of-hospital benefits (with limits).
Main: Adult: Child:
(S) Savings: R12,816 R9,936 R3,528
Extended Fund: R3,197 R2,488 R886
(SP) Self Payment: R1,900 R1,416 R460
Threshold (S+SP): R17,913 R13,840 R4,874
Above Threshold: R8,700 pb
R17,400 pf		 17,400 pf

Compare with these plans:
2. Hospital Choice:
  • Unlimited
3. Specialised Radiology:
  • First R2,500 payable from available Savings
  • No benefit for screening purposes
4. Supplementary Services: (Physio, etc)
5. Transplants:
6. Co-payments:
  • Excision lesion: R1,000
  • Gastroscopy, colonoscopy, cystoscopy, nasal/sinus endoscopy, functional nasal surgery, hysteroscopy, flexible sigmoidoscopy, arthroscopy, diagnostic laparoscopy, dental, joint replacements, conservative back and neck treatment, laminectomy and spinal fusion and nissen fundoplication (reflux surgery), hysterectomy (except for cancer), laparoscopic hemicolectomy, laparoscopic inguinal hernia repair, laparoscopic appendicectomy: R1,500
  • Specialised radiology: R2,500 co-payment
7. Alternatives to hospitals:
  • Step down nursing facilities, hospice and rehabilitation: Unlimited
  • Private nursing at home from day-to-day benefit limited to 60 days per family

View this plan

Compcare Pinnacle ED 2017: In-hospital Benefits
In brief: 200% scheme rate for specialists. Netcare hospitals. Some co-payments. Comprehensive cover with savings, extended fund, and limited above threshold benefits that cover most out-of-hospital benefits (with limits).
1. Payout Rate:
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Main: Adult: Child:
Total Cost: R4,452 R3,462 R1,242
Children: Pay for all children
Day-to-Day Benefit:
Comprehensive cover with savings, extended fund, and limited above threshold benefits that cover most out-of-hospital benefits (with limits).
Main: Adult: Child:
(S) Savings: R10,656 R8,280 R2,952
(SP) Self Payment: R1,900 R1,416 R460
Threshold (S+SP): R15,226 R11,774 R4,158
Above Threshold: R8,700 pb
R17,400 pf		 17,400 pf

Compare with these plans:
2. Hospital Choice:
  • Netcare Hospitals
3. Specialised Radiology:
  • First R2,500 payable from available Savings
  • No benefit for screening purposes
4. Supplementary Services: (Physio, etc)
5. Transplants:
6. Co-payments:
  • Excision lesion: R1,000
  • Gastroscopy, colonoscopy, cystoscopy, nasal/sinus endoscopy, functional nasal surgery, hysteroscopy, flexible sigmoidoscopy, arthroscopy, diagnostic laparoscopy, dental, joint replacements, conservative back and neck treatment, laminectomy and spinal fusion and nissen fundoplication (reflux surgery), hysterectomy (except for cancer), laparoscopic hemicolectomy, laparoscopic inguinal hernia repair, laparoscopic appendicectomy: R1,500
  • Specialised radiology: R2,500 co-payment
7. Alternatives to hospitals:
  • Step down nursing facilities, hospice and rehabilitation: Unlimited
  • Private nursing at home from day-to-day benefit limited to 60 days per family

View this plan

Compcare Dynamix 2017: In-hospital Benefits
In brief: 100% scheme rate for specialists. Some co-payments. Comprehensive cover with savings, extended fund, and limited above threshold benefits that cover most out-of-hospital benefits (with limits).
1. Payout Rate:
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Main: Adult: Child:
Total Cost: R4,014 R3,138 R1,122
Children: Pay for all children
Day-to-Day Benefit:
Comprehensive cover with savings, extended fund, and limited above threshold benefits that cover most out-of-hospital benefits (with limits).
Main: Adult: Child:
(S) Savings: R7,200 R5,688 R2,016
Extended Fund: R2,408 R1,883 R673
(SP) Self Payment: R5,000 R3,878 R1,402
Threshold (S+SP): R14,608 R11,449 R4,091
Above Threshold: R5,800 pb
R11,600 pf		 11,600 pf

Compare with these plans:
2. Hospital Choice:
  • Unlimited
3. Specialised Radiology:
  • First R2,500 payable from day-to-day benefit
  • No benefit for screening purposes
4. Supplementary Services: (Physio, etc)
5. Transplants:
6. Co-payments:
  • Excision lesion: R1,000
  • Gastroscopy, colonoscopy, cystoscopy, nasal/sinus endoscopy, functional nasal surgery, hysteroscopy, flexible sigmoidoscopy, arthroscopy, diagnostic laparoscopy, dental, joint replacements, conservative back and neck treatment, laminectomy and spinal fusion and nissen fundoplication (reflux surgery), hysterectomy (except for cancer), laparoscopic hemicolectomy, laparoscopic inguinal hernia repair, laparoscopic appendicectomy: R1,500
  • Specialised radiology: R2,500 co-payment
7. Alternatives to hospitals:
  • Step down nursing facilities, hospice and rehabilitation: Unlimited
  • Private nursing at home from day-to-day benefit limited to 60 days per family

View this plan

Compcare Dynamix ED 2017: In-hospital Benefits
In brief: 100% scheme rate for specialists. Netcare hospitals. Some co-payments. Comprehensive cover with savings, and limited above threshold benefits that cover most out-of-hospital benefits (with limits).
1. Payout Rate:
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Main: Adult: Child:
Total Cost: R3,306 R2,580 R930
Children: Pay for all children
Day-to-Day Benefit:
Comprehensive cover with savings, extended fund, and limited above threshold benefits that cover most out-of-hospital benefits (with limits).
Main: Adult: Child:
(S) Savings: R5,976 R4,680 R1,656
Extended Fund: R1,984 R1,548 R558
(SP) Self Payment: R5,000 R3,878 R1,402
Threshold (S+SP): R12,960 R10,106 R3,616
Above Threshold: R5,800 pb
R11,600 pf		 11,600 pf

Compare with these plans:
2. Hospital Choice:
  • Netcare Network
3. Specialised Radiology:
  • First R2,500 payable from day-to-day benefit
  • No benefit for screening purposes
4. Supplementary Services: (Physio, etc)
5. Transplants:
6. Co-payments:
  • Excision lesion: R1,000
  • Gastroscopy, colonoscopy, cystoscopy, nasal/sinus endoscopy, functional nasal surgery, hysteroscopy, flexible sigmoidoscopy, arthroscopy, diagnostic laparoscopy, dental, joint replacements, conservative back and neck treatment, laminectomy and spinal fusion and nissen fundoplication (reflux surgery), hysterectomy (except for cancer), laparoscopic hemicolectomy, laparoscopic inguinal hernia repair, laparoscopic appendicectomy: R1,500
  • Specialised radiology: R2,500 co-payment
7. Alternatives to hospitals:
  • Step down nursing facilities, hospice and rehabilitation: Unlimited
  • Private nursing at home from day-to-day benefit limited to 60 days per family

View this plan

Compcare Symmetry 2017: In-hospital Benefits
In brief: 100% scheme rate for specialists. Some co-payments. Scheme offers extended fund once savings are depleted, and also pays for: specialised radiology, GPs (unlimited), medical appliances and preventative benefits. Limits apply.
1. Payout Rate:
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Main: Adult: Child:
Total Cost: R3,186 R2,484 R900
Children: Pay for all children
Day-to-Day Benefit:
Scheme offers extended fund for claims once savings are depleted, and also pays for: specialised radiology, GPs, medical appliances and preventative benefits. Limits apply. All else paid from savings, fund or out of pocket.
Main: Adult: Child:
(S) Savings: R3,816 R2,952 R1,080
Extended Fund: R3,816 R2,952 R1,080

Compare with these plans:
2. Hospital Choice:
  • Unlimited
3. Specialised Radiology:
  • R25,000 per family with first R1,500 paid out of savings
  • No benefit for screening purposes
4. Supplementary Services: (Physio, etc)
5. Transplants:
6. Co-payments:
  • Excision lesion:R1,000
  • Gastroscopy, colonoscopy, cystoscopy, proctoscopy, nasal/sinus endoscopy, hysteroscopy, flexible sigmoidoscopy, arthroscopy, diagnostic laparoscopy, dental, laparoscopic inguinal hernia repair, laparoscopic appendicectomy: R2,000
  • Adenoidectomy, myringotomy, grommets, tonsillectomy: R2,550
  • Laparoscopic hemicolectomy : R3,000
  • laminectomy and spinal fusion: R4,000
  • Hysterectomy (except for cancer), laparoscopy, hysteroscopy, endometrial ablation, functional nasal surgry and septoplasty: R6,150
  • Joint replacements, conservative back and neck treatment - spinal cord injections, laminectomy and spinal fusion, nissen fundoplication (reflux surgery):R12,600
  • Specialised radiology: R1,500 co-payment
7. Alternatives to hospitals:
  • Step down nursing facilities, hospice and rehabilitation: Unlimited
  • Private nursing at home from day-to-day benefit limited to 60 days per family

View this plan

Compcare Symmetry ED 2017: In-hospital Benefits
In brief: 100% scheme rate for specialists. Netcare hospitals. Some co-payments. Scheme offers extended fund once savings are depleted, and also pays for: specialised radiology, GPs (unlimited), medical appliances and preventative benefits. Limits apply.
1. Payout Rate:
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Main: Adult: Child:
Total Cost: R2,598 R2,022 R732
Children: Pay for all children
Day-to-Day Benefit:
Scheme offers extended fund for claims once savings are depleted, and also pays for: specialised radiology, GPs, medical appliances and preventative benefits. Limits apply. All else paid from savings, fund or out of pocket.
Main: Adult: Child:
(S) Savings: R3,118 R2,426 R878
Extended Fund: R3,118 R2,426 R878

Compare with these plans:
2. Hospital Choice:
  • Netcare Network
3. Specialised Radiology:
  • R25,000 per family with first R1,500 paid out of savings
  • No benefit for screening purposes
4. Supplementary Services: (Physio, etc)
5. Transplants:
6. Co-payments:
  • Excision lesion:R1,000
  • Gastroscopy, colonoscopy, cystoscopy, proctoscopy, nasal/sinus endoscopy, hysteroscopy, flexible sigmoidoscopy, arthroscopy, diagnostic laparoscopy, dental, laparoscopic inguinal hernia repair, laparoscopic appendicectomy: R2,000
  • Adenoidectomy, myringotomy, grommets, tonsillectomy: R2,550
  • Laparoscopic hemicolectomy : R3,000
  • laminectomy and spinal fusion: R4,000
  • Hysterectomy (except for cancer), laparoscopy, hysteroscopy, endometrial ablation, functional nasal surgry and septoplasty: R6,150
  • Joint replacements, conservative back and neck treatment - spinal cord injections, laminectomy and spinal fusion, nissen fundoplication (reflux surgery):R12,600
  • Specialised radiology: R1,500 co-payment
7. Alternatives to hospitals:
  • Step down nursing facilities, hospice and rehabilitation: Unlimited
  • Private nursing at home from day-to-day benefit limited to 60 days per family

View this plan

Compcare Mumed 2017: In-hospital Benefits
In brief: 100% scheme rate for specialists. Some co-payments. Scheme offers fund for out-of-hospital claims, incl unlimited GP visits, Scheme also pays for specialised radiology, medical appliances and preventative benefits.
1. Payout Rate:
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Main: Adult: Child:
Total Cost: R2,532 R1,974 R714
Children: Pay for all children
Day-to-Day Benefit:
Scheme offers fund for out-of-hospital claims, incl unlimited GP visits, Scheme also pays for specialised radiology, medical appliances and preventative benefits.
Main: Adult: Child:
(S) Savings: R0- R0- R0-
Extended Fund: R5,376 R3,372 R1,338

Compare with these plans:
2. Hospital Choice:
  • Unlimited
3. Specialised Radiology:
  • R22,000 per family
  • No benefit for screening purposes
4. Supplementary Services: (Physio, etc)
5. Transplants:
6. Co-payments:
  • Excision lesion:R1,000
  • Gastroscopy, colonoscopy, cystoscopy, proctoscopy, nasal/sinus endoscopy, hysteroscopy, flexible sigmoidoscopy, diagnostic laparoscopy, dental: R3,300
  • Adenoidectomy, myringotomy, grommets, tonsillectomy: R2,550
  • Laparoscopic hemicolectomy, laparoscopic inguinal hernia repair, laparoscopic appendicectomy : R4,000
  • Laminectomy and spinal fusion, : R8,000
  • Hysterectomy (except for cancer), laparoscopy, hysteroscopy, endometrial ablation, arthroscopy, functional nasal surgry and septoplasty: R6,150
  • Joint replacements, conservative back and neck treatment - spinal cord injections, laminectomy and spinal fusion, nissen fundoplication (reflux surgery):R15,000
7. Alternatives to hospitals:
  • Step down nursing facilities, hospice and rehabilitation: Unlimited
  • Private nursing at home from day-to-day benefit limited to 60 days per family

View this plan

Compcare Mumed ED 2017: In-hospital Benefits
In brief: 100% scheme rate for specialists. Netcare hospitals. Some co-payments. Scheme offers fund for out-of-hospital claims, incl unlimited GP visits, Scheme also pays for specialised radiology, medical appliances and preventative benefits.
1. Payout Rate:
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Main: Adult: Child:
Total Cost: R2,054 R1,600 R572
Children: Pay for all children
Day-to-Day Benefit:
Scheme offers fund for out-of-hospital claims, incl unlimited GP visits, Scheme also pays for specialised radiology, medical appliances and preventative benefits.
Main: Adult: Child:
(S) Savings: R0- R0- R0-
Extended Fund: R5,376 R3,372 R1,338

Compare with these plans:
2. Hospital Choice:
  • Netcare Network
3. Specialised Radiology:
  • R22,000 per family
  • No benefit for screening purposes
4. Supplementary Services: (Physio, etc)
5. Transplants:
6. Co-payments:
  • Excision lesion:R1,000
  • Gastroscopy, colonoscopy, cystoscopy, proctoscopy, nasal/sinus endoscopy, hysteroscopy, flexible sigmoidoscopy, diagnostic laparoscopy, dental: R3,300
  • Adenoidectomy, myringotomy, grommets, tonsillectomy: R2,550
  • Laparoscopic hemicolectomy, laparoscopic inguinal hernia repair, laparoscopic appendicectomy : R4,000
  • Laminectomy and spinal fusion, : R8,000
  • Hysterectomy (except for cancer), laparoscopy, hysteroscopy, endometrial ablation, arthroscopy, functional nasal surgry and septoplasty: R6,150
  • Joint replacements, conservative back and neck treatment - spinal cord injections, laminectomy and spinal fusion, nissen fundoplication (reflux surgery):R15,000
7. Alternatives to hospitals:
  • Step down nursing facilities, hospice and rehabilitation: Unlimited
  • Private nursing at home from day-to-day benefit limited to 60 days per family

View this plan

Compcare Unisave 2017: In-hospital Benefits
In brief: 100% scheme rate for specialists. Some co-payments, incl R3,500 for each hospital admission. Over and above the savings fund, scheme pays out-of-hospital claims for): specialised radiology, maternity, appliances, preventative benefits. Limits apply.
1. Payout Rate:
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Main: Adult: Child:
Total Cost: R1,974 R1,680 R594
Children: Pay for all children
Day-to-Day Benefit:
Out-of-hospital, scheme pays for some: specialised radiology, maternity, appliances, preventative benefits. Limits apply. . Limits apply. All else paid out of savings or out of pocket, unless PMB.
Main: Adult: Child:
(S) Savings: R5,904 R5,040 R1,800

Compare with these plans:
2. Hospital Choice:
  • Unlimited
3. Specialised Radiology:
  • R18,000 per family, with first R1,000 paid from available day-to-day benefits
  • No benefit for screening purposes
4. Supplementary Services: (Physio, etc)
5. Transplants:
6. Co-payments:
  • All hospitalisation: R3,500
  • Excision lesion:R1,000
  • Gastroscopy, colonoscopy, cystoscopy, proctoscopy, nasal/sinus endoscopy, hysteroscopy, flexible sigmoidoscopy, diagnostic laparoscopy, dental: R3,300
  • Adenoidectomy, myringotomy, grommets, tonsillectomy: R2,550
  • Laparoscopic hemicolectomy, laparoscopic inguinal hernia repair, laparoscopic appendicectomy : R4,000
  • Laminectomy and spinal fusion, : R8,000
  • Hysterectomy (except for cancer), laparoscopy, hysteroscopy, endometrial ablation, arthroscopy, functional nasal surgry and septoplasty: R6,150
  • Joint replacements, conservative back and neck treatment - spinal cord injections, laminectomy and spinal fusion, nissen fundoplication (reflux surgery):R15,000
7. Alternatives to hospitals:
  • Step down nursing facilities, hospice and rehabilitation: Unlimited
  • Private nursing at home from day-to-day benefit limited to 60 days per family

View this plan

Compcare Axis 2017: In-hospital Benefits
In brief: 100% scheme rate for specialists. Some exclusions apply. Most out-of-hospital benefits covered only if PMBs.
1. Payout Rate:
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Main: Adult: Child:
Total Cost: R1,734 R1,734 R534
Children: Pay for all children
Day-to-Day Benefit:
Out-of-hospital, scheme pays for some: preventative benefits. Limits apply. All else paid out of pocket, unless PMB.
Main: Adult: Child:
(S) Savings: R0- R0- R0-

Compare with these plans:
2. Hospital Choice:
  • Unlimited
3. Specialised Radiology:
  • R20,000 per family
  • No benefit for screening purposes
4. Supplementary Services: (Physio, etc)
5. Transplants:
6. Co-payments:
  • Excision lesion:R1,000
  • Gastroscopy, colonoscopy, cystoscopy, proctoscopy, nasal/sinus endoscopy, hysteroscopy, flexible sigmoidoscopy, diagnostic laparoscopy, dental: R3,300
  • Adenoidectomy, myringotomy, grommets, tonsillectomy: R2,550
  • Laparoscopic hemicolectomy, laparoscopic inguinal hernia repair, laparoscopic appendicectomy : R4,000
  • Laminectomy and spinal fusion, : R8,000
  • Hysterectomy (except for cancer), laparoscopy, hysteroscopy, endometrial ablation, arthroscopy, functional nasal surgry and septoplasty: R6,150
7. Alternatives to hospitals:

View this plan

Compcare Axis ED 2017: In-hospital Benefits
In brief: 100% scheme rate for specialists. Netcare hospitals. Some exclusions apply. Most out-of-hospital benefits covered only if PMBs.
1. Payout Rate:
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Main: Adult: Child:
Total Cost: R1,260 R1,260 R396
Children: Pay for all children
Day-to-Day Benefit:
Out-of-hospital, scheme pays for some: preventative benefits. Limits apply. All else paid out of pocket, unless PMB.
Main: Adult: Child:
(S) Savings: R0- R0- R0-

Compare with these plans:
2. Hospital Choice:
  • Netcare Network
3. Specialised Radiology:
  • R20,000 per family
  • No benefit for screening purposes
4. Supplementary Services: (Physio, etc)
5. Transplants:
6. Co-payments:
  • Excision lesion:R1,000
  • Gastroscopy, colonoscopy, cystoscopy, proctoscopy, nasal/sinus endoscopy, hysteroscopy, flexible sigmoidoscopy, diagnostic laparoscopy, dental: R3,300
  • Adenoidectomy, myringotomy, grommets, tonsillectomy: R2,550
  • Laparoscopic hemicolectomy, laparoscopic inguinal hernia repair, laparoscopic appendicectomy : R4,000
  • Laminectomy and spinal fusion, : R8,000
  • Hysterectomy (except for cancer), laparoscopy, hysteroscopy, endometrial ablation, arthroscopy, functional nasal surgry and septoplasty: R6,150
7. Alternatives to hospitals:

View this plan

Networx plans

Compcare Networx ED A 2017: In-hospital Benefits
In brief: 100% scheme rate for specialists. Some exclusions apply. Private and public Network hospitals. Annual limit of R1,100,000 per family. Scheme pays for: GPs, medicine, radiology, pathology, maternity and preventative benefits. Limits apply. All else paid from out of fund or from out of pocket, unless PMB.
1. Payout Rate:
Overall Annual Limit (OAL):
R1,100,000 per family
Contributions:
Main: Adult: Child:
Total Cost: R330 R330 R330
Children: Pay for all children
Income limit: R0-R500 (other limits)
Day-to-Day Benefit:
Out-of-hospital, scheme pays for some: GPs, medicine, radiology, pathology, maternity and preventative benefits. All else paid from out of fund or from out of pocket, unless PMB.
Main: Adult: Child:
(S) Savings: R0- R0- R0-
Extended Fund: R2,800 (main) R4,170 (family) R

Compare with these plans:
2. Hospital Choice:
  • Network (Private and State)
3. Specialised Radiology:
4. Supplementary Services: (Physio, etc)
5. Transplants:
6. Co-payments:
7. Alternatives to hospitals:
  • Step down nursing facilities, hospice and rehabilitation: subject to OAL
  • Private nursing at home: PMBs only

View this plan

Compcare Networx ED B 2017: In-hospital Benefits
In brief: 100% scheme rate for specialists. Some exclusions apply. Private and public Network hospitals. Annual limit of R1,100,000 per family. Scheme pays for: GPs, medicine, radiology, pathology, maternity and preventative benefits. Limits apply. All else paid from out of fund or from out of pocket, unless PMB.
1. Payout Rate:
Overall Annual Limit (OAL):
R1,100,000 per family
Contributions:
Main: Adult: Child:
Total Cost: R665 R632 R233
Children: Pay for all children
Income limit: R501-R4,000 (other limits)
Day-to-Day Benefit:
Out-of-hospital, scheme pays for some: GPs, medicine, radiology, pathology, maternity and preventative benefits. All else paid from out of fund or from out of pocket, unless PMB.
Main: Adult: Child:
(S) Savings: R0- R0- R0-
Extended Fund: R2,800 (main) R4,170 (family) R

Compare with these plans:
2. Hospital Choice:
  • Network (Private and State)
3. Specialised Radiology:
4. Supplementary Services: (Physio, etc)
5. Transplants:
6. Co-payments:
7. Alternatives to hospitals:
  • Step down nursing facilities, hospice and rehabilitation: subject to OAL
  • Private nursing at home: PMBs only

View this plan

Compcare Networx ED C 2017: In-hospital Benefits
In brief: 100% scheme rate for specialists. Some exclusions apply. Private and public Network hospitals. Annual limit of R1,100,000 per family. Scheme pays for: GPs, medicine, radiology, pathology, maternity and preventative benefits. Limits apply. All else paid from out of fund or from out of pocket, unless PMB.
1. Payout Rate:
Overall Annual Limit (OAL):
R1,100,000 per family
Contributions:
Main: Adult: Child:
Total Cost: R687 R652 R240
Children: Pay for all children
Income limit: R4,001-R5,000 (other limits)
Day-to-Day Benefit:
Out-of-hospital, scheme pays for some: GPs, medicine, radiology, pathology, maternity and preventative benefits. All else paid from out of fund or from out of pocket, unless PMB.
Main: Adult: Child:
(S) Savings: R0- R0- R0-
Extended Fund: R2,800 (main) R4,170 (family) R

Compare with these plans:
2. Hospital Choice:
  • Network (Private and State)
3. Specialised Radiology:
4. Supplementary Services: (Physio, etc)
5. Transplants:
6. Co-payments:
7. Alternatives to hospitals:
  • Step down nursing facilities, hospice and rehabilitation: subject to OAL
  • Private nursing at home: PMBs only

View this plan

Compcare Networx ED D 2017: In-hospital Benefits
In brief: 100% scheme rate for specialists. Some exclusions apply. Private and public Network hospitals. Annual limit of R1,100,000 per family. Scheme pays for: GPs, medicine, radiology, pathology, maternity and preventative benefits. Limits apply. All else paid from out of fund or from out of pocket, unless PMB.
1. Payout Rate:
Overall Annual Limit (OAL):
R1,100,000 per family
Contributions:
Main: Adult: Child:
Total Cost: R821 R779 R289
Children: Pay for all children
Income limit: R5,001-R6,000 (other limits)
Day-to-Day Benefit:
Out-of-hospital, scheme pays for some: GPs, medicine, radiology, pathology, maternity and preventative benefits. All else paid from out of fund or from out of pocket, unless PMB.
Main: Adult: Child:
(S) Savings: R0- R0- R0-
Extended Fund: R2,800 (main) R4,170 (family) R

Compare with these plans:
2. Hospital Choice:
  • Network (Private and State)
3. Specialised Radiology:
4. Supplementary Services: (Physio, etc)
5. Transplants:
6. Co-payments:
7. Alternatives to hospitals:
  • Step down nursing facilities, hospice and rehabilitation: subject to OAL
  • Private nursing at home: PMBs only

View this plan

Compcare Networx ED E 2017: In-hospital Benefits
In brief: 100% scheme rate for specialists. Some exclusions apply. Private and public Network hospitals. Annual limit of R1,100,000 per family. Scheme pays for: GPs, medicine, radiology, pathology, maternity and preventative benefits. Limits apply. All else paid from out of fund or from out of pocket, unless PMB.
1. Payout Rate:
Overall Annual Limit (OAL):
R1,100,000 per family
Contributions:
Main: Adult: Child:
Total Cost: R859 R817 R301
Children: Pay for all children
Income limit: R6,001-R8,000 (other limits)
Day-to-Day Benefit:
Out-of-hospital, scheme pays for some: GPs, medicine, radiology, pathology, maternity and preventative benefits. All else paid from out of fund or from out of pocket, unless PMB.
Main: Adult: Child:
(S) Savings: R0- R0- R0-
Extended Fund: R2,800 (main) R4,170 (family) R

Compare with these plans:
2. Hospital Choice:
  • Network (Private and State)
3. Specialised Radiology:
4. Supplementary Services: (Physio, etc)
5. Transplants:
6. Co-payments:
7. Alternatives to hospitals:
  • Step down nursing facilities, hospice and rehabilitation: subject to OAL
  • Private nursing at home: PMBs only

View this plan

Compcare Networx ED F 2017: In-hospital Benefits
In brief: 100% scheme rate for specialists. Some exclusions apply. Private and public Network hospitals. Annual limit of R1,100,000 per family. Scheme pays for: GPs, medicine, radiology, pathology, maternity and preventative benefits. Limits apply. All else paid from out of fund or from out of pocket, unless PMB.
1. Payout Rate:
Overall Annual Limit (OAL):
R1,100,000 per family
Contributions:
Main: Adult: Child:
Total Cost: R978 R931 R343
Children: Pay for all children
Income limit: R8,001-R9,000 (other limits)
Day-to-Day Benefit:
Out-of-hospital, scheme pays for some: GPs, medicine, radiology, pathology, maternity and preventative benefits. All else paid from out of fund or from out of pocket, unless PMB.
Main: Adult: Child:
(S) Savings: R0- R0- R0-
Extended Fund: R2,800 (main) R4,170 (family) R

Compare with these plans:
2. Hospital Choice:
  • Network (Private and State)
3. Specialised Radiology:
4. Supplementary Services: (Physio, etc)
5. Transplants:
6. Co-payments:
7. Alternatives to hospitals:
  • Step down nursing facilities, hospice and rehabilitation: subject to OAL
  • Private nursing at home: PMBs only

View this plan

Compcare Networx ED G 2017: In-hospital Benefits
In brief: 100% scheme rate for specialists. Some exclusions apply. Private and public Network hospitals. Annual limit of R1,100,000 per family. Scheme pays for: GPs, medicine, radiology, pathology, maternity and preventative benefits. Limits apply. All else paid from out of fund or from out of pocket, unless PMB.
1. Payout Rate:
Overall Annual Limit (OAL):
R1,100,000 per family
Contributions:
Main: Adult: Child:
Total Cost: R1,037 R987 R364
Children: Pay for all children
Income limit: R9,001-R10,000 (other limits)
Day-to-Day Benefit:
Out-of-hospital, scheme pays for some: GPs, medicine, radiology, pathology, maternity and preventative benefits. All else paid from out of fund or from out of pocket, unless PMB.
Main: Adult: Child:
(S) Savings: R0- R0- R0-
Extended Fund: R2,800 (main) R4,170 (family) R

Compare with these plans:
2. Hospital Choice:
  • Network (Private and State)
3. Specialised Radiology:
4. Supplementary Services: (Physio, etc)
5. Transplants:
6. Co-payments:
7. Alternatives to hospitals:
  • Step down nursing facilities, hospice and rehabilitation: subject to OAL
  • Private nursing at home: PMBs only

View this plan

Compcare Networx ED H 2017: In-hospital Benefits
In brief: 100% scheme rate for specialists. Some exclusions apply. Private and public Network hospitals. Annual limit of R1,100,000 per family. Scheme pays for: GPs, medicine, radiology, pathology, maternity and preventative benefits. Limits apply. All else paid from out of fund or from out of pocket, unless PMB.
1. Payout Rate:
Overall Annual Limit (OAL):
R1,100,000 per family
Contributions:
Main: Adult: Child:
Total Cost: R1,908 R1,718 R669
Children: Pay for all children
Income limit: R10,001+ (other limits)
Day-to-Day Benefit:
Out-of-hospital, scheme pays for some: GPs, medicine, radiology, pathology, maternity and preventative benefits. All else paid from out of fund or from out of pocket, unless PMB.
Main: Adult: Child:
(S) Savings: R0- R0- R0-
Extended Fund: R2,800 (main) R4,170 (family) R

Compare with these plans:
2. Hospital Choice:
  • Network (Private and State)
3. Specialised Radiology:
4. Supplementary Services: (Physio, etc)
5. Transplants:
6. Co-payments:
7. Alternatives to hospitals:
  • Step down nursing facilities, hospice and rehabilitation: subject to OAL
  • Private nursing at home: PMBs only

View this plan

Compcare Networx ED Plus A 2017: In-hospital Benefits
In brief: 100% scheme rate for specialists. Some exclusions apply. Private Network hospitals. Annual limit of R1,100,000 per family. Scheme pays for: GPs, medicine, radiology, pathology, maternity and preventative benefits. Limits apply. All else paid from out of fund or from out of pocket, unless PMB.
1. Payout Rate:
Overall Annual Limit (OAL):
R1,100,000 per family
Contributions:
Main: Adult: Child:
Total Cost: R283 R279 R154
Children: Pay for all children
Income limit: R0-R500 (other limits)
Day-to-Day Benefit:
Out-of-hospital, scheme pays for some: GPs, medicine, radiology, pathology, maternity and preventative benefits. All else paid from out of fund or from out of pocket, unless PMB.
Main: Adult: Child:
(S) Savings: R0- R0- R0-
Extended Fund: R2,800 (main) R4,170 (family) R

Compare with these plans:
2. Hospital Choice:
  • Network (Private)
3. Specialised Radiology:
4. Supplementary Services: (Physio, etc)
5. Transplants:
6. Co-payments:
7. Alternatives to hospitals:
  • Step down nursing facilities, hospice and rehabilitation: subject to OAL
  • Private nursing at home: PMBs only

View this plan

Compcare Networx ED Plus B 2017: In-hospital Benefits
In brief: 100% scheme rate for specialists. Some exclusions apply. Private Network hospitals. Annual limit of R1,100,000 per family. Scheme pays for: GPs, medicine, radiology, pathology, maternity and preventative benefits. Limits apply. All else paid from out of fund or from out of pocket, unless PMB.
1. Payout Rate:
Overall Annual Limit (OAL):
R1,100,000 per family
Contributions:
Main: Adult: Child:
Total Cost: R413 R405 R204
Children: Pay for all children
Income limit: R501-R4,000 (other limits)
Day-to-Day Benefit:
Out-of-hospital, scheme pays for some: GPs, medicine, radiology, pathology, maternity and preventative benefits. All else paid from out of fund or from out of pocket, unless PMB.
Main: Adult: Child:
(S) Savings: R0- R0- R0-
Extended Fund: R2,800 (main) R4,170 (family) R

Compare with these plans:
2. Hospital Choice:
  • Network (Private)
3. Specialised Radiology:
4. Supplementary Services: (Physio, etc)
5. Transplants:
6. Co-payments:
7. Alternatives to hospitals:
  • Step down nursing facilities, hospice and rehabilitation: subject to OAL
  • Private nursing at home: PMBs only

View this plan

Compcare Networx ED Plus D 2017: In-hospital Benefits
In brief: 100% scheme rate for specialists. Some exclusions apply. Private Network hospitals. Annual limit of R1,100,000 per family. Scheme pays for: GPs, medicine, radiology, pathology, maternity and preventative benefits. Limits apply. All else paid from out of fund or from out of pocket, unless PMB.
1. Payout Rate:
Overall Annual Limit (OAL):
R1,100,000 per family
Contributions:
Main: Adult: Child:
Total Cost: R529 R502 R251
Children: Pay for all children
Income limit: R5,001-R6,000 (other limits)
Day-to-Day Benefit:
Out-of-hospital, scheme pays for some: GPs, medicine, radiology, pathology, maternity and preventative benefits. All else paid from out of fund or from out of pocket, unless PMB.
Main: Adult: Child:
(S) Savings: R0- R0- R0-
Extended Fund: R2,800 (main) R4,170 (family) R

Compare with these plans:
2. Hospital Choice:
  • Network (Private)
3. Specialised Radiology:
4. Supplementary Services: (Physio, etc)
5. Transplants:
6. Co-payments:
7. Alternatives to hospitals:
  • Step down nursing facilities, hospice and rehabilitation: subject to OAL
  • Private nursing at home: PMBs only

View this plan

Compcare Networx ED Plus F 2017: In-hospital Benefits
In brief: 100% scheme rate for specialists. Some exclusions apply. Private Network hospitals. Annual limit of R1,100,000 per family. Scheme pays for: GPs, medicine, radiology, pathology, maternity and preventative benefits. Limits apply. All else paid from out of fund or from out of pocket, unless PMB.
1. Payout Rate:
Overall Annual Limit (OAL):
R1,100,000 per family
Contributions:
Main: Adult: Child:
Total Cost: R631 R599 R300
Children: Pay for all children
Income limit: R8,001-R9,000 (other limits)
Day-to-Day Benefit:
Out-of-hospital, scheme pays for some: GPs, medicine, radiology, pathology, maternity and preventative benefits. All else paid from out of fund or from out of pocket, unless PMB.
Main: Adult: Child:
(S) Savings: R0- R0- R0-
Extended Fund: R2,800 (main) R4,170 (family) R

Compare with these plans:
2. Hospital Choice:
  • Network (Private)
3. Specialised Radiology:
4. Supplementary Services: (Physio, etc)
5. Transplants:
6. Co-payments:
7. Alternatives to hospitals:
  • Step down nursing facilities, hospice and rehabilitation: subject to OAL
  • Private nursing at home: PMBs only

View this plan

Compcare Networx ED Plus G 2017: In-hospital Benefits
In brief: 100% scheme rate for specialists. Some exclusions apply. Private Network hospitals. Annual limit of R1,100,000 per family. Scheme pays for: GPs, medicine, radiology, pathology, maternity and preventative benefits. Limits apply. All else paid from out of fund or from out of pocket, unless PMB.
1. Payout Rate:
Overall Annual Limit (OAL):
R1,100,000 per family
Contributions:
Main: Adult: Child:
Total Cost: R668 R636 R318
Children: Pay for all children
Income limit: R9,001-R10,000 (other limits)
Day-to-Day Benefit:
Out-of-hospital, scheme pays for some: GPs, medicine, radiology, pathology, maternity and preventative benefits. All else paid from out of fund or from out of pocket, unless PMB.
Main: Adult: Child:
(S) Savings: R0- R0- R0-
Extended Fund: R2,800 (main) R4,170 (family) R

Compare with these plans:
2. Hospital Choice:
  • Network (Private)
3. Specialised Radiology:
4. Supplementary Services: (Physio, etc)
5. Transplants:
6. Co-payments:
7. Alternatives to hospitals:
  • Step down nursing facilities, hospice and rehabilitation: subject to OAL
  • Private nursing at home: PMBs only

View this plan

Compcare Networx ED Plus H 2017: In-hospital Benefits
In brief: 100% scheme rate for specialists. Some exclusions apply. Private Network hospitals. Annual limit of R1,100,000 per family. Scheme pays for: GPs, medicine, radiology, pathology, maternity and preventative benefits. Limits apply. All else paid from out of fund or from out of pocket, unless PMB.
1. Payout Rate:
Overall Annual Limit (OAL):
R1,100,000 per family
Contributions:
Main: Adult: Child:
Total Cost: R1,318 R1,186 R585
Children: Pay for all children
Income limit: R10,001+ (other limits)
Day-to-Day Benefit:
Out-of-hospital, scheme pays for some: GPs, medicine, radiology, pathology, maternity and preventative benefits. All else paid from out of fund or from out of pocket, unless PMB.
Main: Adult: Child:
(S) Savings: R0- R0- R0-
Extended Fund: R2,800 (main) R4,170 (family) R

Compare with these plans:
2. Hospital Choice:
  • Network (Private)
3. Specialised Radiology:
4. Supplementary Services: (Physio, etc)
5. Transplants:
6. Co-payments:
7. Alternatives to hospitals:
  • Step down nursing facilities, hospice and rehabilitation: subject to OAL
  • Private nursing at home: PMBs only

View this plan


Medical Aid Bible helps South Africans choose the best medical aid plan for their needs. Quickly view the benefits on any open plan, and compare any two plans with a simple click.
.